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New Jersey rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,054.59 / $30,803.00 / $40,096.80
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107,480.38 / $107,480.38 / $107,480.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,719.43 / $30,758.00 / $41,661.29
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,004.00 / $24,073.00 / $38,795.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,098.00 / $18,764.00 / $37,995.15